By Allan H. Ropper, Robert H. Brown
A new tackle the vintage, definitive textual content at the complete spectrum of neurology. Reflecting a contemporary method of neurology, Adams and Victor�s ideas of Neurology, 8/e new layout highlights a extra whole and available ways to remedy and scientific administration recommendations. This completely revised variation gains extra assurance of remedy and neuroimaging, renown signs sections built-in all through, and over 800 illustrations.
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Extra info for Adams and Victor's Principles of Neurology (8th Edition)
2-5. The generators of waves VI and VII are uncertain. Clinical interpretations of BAERs are based mainly on latency measurements of waves I, III, and V. The most important are the interwave latencies between I and III and III and V (see Table 2-4). The presence of wave I and its absolute latency are of particular value in testing the integrity of the auditory nerve. 1 0 Ϫ I Auditory nerve II Cochlear nuclei (pons) III Superior olivary IV Lateral lemniscus V Inferior colliculus (midbrain) Hair cells Organ of Corti Cochlear nerve Cochlear nuclei Nucleus of lateral lemniscus Figure 2-5.
With current reﬁnements of radiologic technique that use digital computer processing of radiologic data to produce images of the major cervical and intracranial arteries, the vessels can be visualized with relatively small amounts of dye that are introduced through smaller catheters than those used previously. CHAPTER 2 SPECIAL TECHNIQUES FOR NEUROLOGIC DIAGNOSIS Magnetic Resonance and Computed Tomographic (Spiral, Helical) Angiography These are noninvasive techniques for visualizing the main intracranial arteries that can reliably detect intracranial vascular lesions and extracranial carotid artery stenosis.
Delta (1- to 3-Hz) activity is not present in the normal waking adult. During stroboscopic stimulation, an occipital response to each ﬂash of light may normally be seen (photic or occipital driving). The visual response arrives in the calcarine cortex 20 to 30 ms after the ﬂash of light. The presence of such a response indicates that the patient can at least perceive light, and if there is a claim to the contrary, the patient is either hysterical or malingering. The evoked visual responses (see further on) are an even more sensitive means of detecting hysterical blindness than occipital driving, since the latter may be absent in normal persons.